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Organization

ALTAIR EDUCATIONAL AND THERAPEUTIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANALYN MAGPANTAY JOENS OTD, EDD, OTR/L (OWNER/CEO/OCCUPATIONAL THERAPIST)
(240) 429-1806
Entity
Organization

Contact information

Practice address
18484 W SUNRISE DR, GOODYEAR, AZ 85338-4918
(623) 419-1998
(623) 321-6387
Mailing address
18484 W SUNRISE DR, GOODYEAR, AZ 85338-4918
(623) 419-1998
(623) 321-6387

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
Primary
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
10/18/2023
Last updated
12/06/2023
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